Keystone Tides, Pllc
NPI #1306649884 in Port Angeles, Washington
Provider Information
- NPI Number
- 1306649884
- Entity Type
- Organization
- Organization Name
- Keystone Tides, Pllc
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Mar 31, 2025
- Last Updated
- Mar 31, 2025
Practice Location
- Address
- 115 E RAILROAD AVE STE 203
- City
- Port Angeles
- State
- Washington
- ZIP Code
- 98362-2925
- Phone
- (425) 400-8602
Authorized Official
- Name
- JESSICA JOHNSON, ARNP
- Title
- OWNER
- Phone
- (303) 775-0065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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